Active NPI
Medical Group at Sun City, LLP
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1003011313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICAL GROUP AT SUN CITY, LLP
- Practice address
- 2601 N Tenaya Way
Las Vegas, NV 89128-0427 - Phone
- (702) 240-8155
- Fax
- (702) 240-8161
- NPI assigned
- Jun 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Nguyen
- Title
- Chief Operating Officer
- Phone
- (214) 649-4686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2601 N Tenaya Way
Las Vegas, NV 89128-0427
Mailing address
2601 N Tenaya Way
Las Vegas, NV 89128-0427
Phone (702) 240-8155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100509533 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
2440 Professional Ct
Ste 110
Las Vegas, NV 89128
Phone (702) 240-8155
2440 Professional Ct
Las Vegas, NV 89128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632182400000",
"number": "1003011313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280427",
"telephone_number": "702-240-8155",
"fax_number": "702-240-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280427",
"telephone_number": "702-240-8155",
"fax_number": "702-240-8161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL GROUP AT SUN CITY, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-18",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "214-649-4686"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100509533",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Medical Diagnostic Services, Inc.
- Medical Diagnostic Services, Inc.
- Medical Dietitian Consultants LLC
- Medical Electronics, Inc
- Medical Group at Sun City Hospitalists Najmi PC
- Medical Group LLC
- Medical Industry Services Inc
- Medical Industry Services Inc.
- Medical Internists of Nevada LLC
- Medical Investment Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.